Senior Manager – Health Policy and Government Reimbursement

🔥 5 minutes ago

❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $129k - $190k / year

⏰ Full Time

🟠 Senior

👔 Manager

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Coloplast

WebsiteLinkedInAll Job Openings

10,000+ employees

🏭 Manufacturing

🏥 Healthcare

Manufacturing • Healthcare • Medical Devices

Coloplast is one of the most successful medical device companies in the world, dedicated to improving the lives of individuals with intimate healthcare needs. Founded in 1957, the company was inspired by a nurse's desire to help and an engineer's commitment to innovation. With a strong emphasis on collaboration, inclusion, and personal empowerment, Coloplast creates solutions that enhance the quality of life for millions globally. Their mission reflects a deep commitment to caring for individuals, making everyday life easier for those they serve.

📋 Description

• Collaborates with the Director of Government Affairs, Reimbursement and Health Policy in the development and execution of US reimbursement strategies to fight commoditization of DMEPOS products by shaping national/local coverage decisions and payment methodologies, engaging various stakeholders to influence/petition payers with coding, coverage and payment consideration requests. • Manage, communicate and execute US reimbursement strategies that ensure Coloplast Chronic Care Products have strong value propositions in the Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS) products categories. • Partner with Public Affairs to develop campaigns and initiatives to engage stakeholders to petition government payers with coding, coverage and payment consideration requests. • Partner with global and US cross-functional teams throughout product life cycles (product charter/program management, clinical studies and commercialization) to define evidence needs, develop and execute US reimbursement strategies and tactics that ensure Coloplast offerings have strong value propositions. • Analyze and provide insight on health policy issues affecting Coloplast business: developing argumentation based on evidence and policy data analyses, and advocacy including comment letters designed to influence policy. • Interpret clinical and economic evidence and articulate value proposition of Coloplast product, service and digital services to payers and health technology agencies. • Develop and maintain a current knowledge of the government payors landscape within DMEPOS markets. • Partner with Downstream Market Access and Comfort Medical teams to develop and deploy access and reimbursement solutions that support Coloplast growth strategies. • Interpret health policy regulations and appropriately comment to minimize negative implications. • Deliver and create clear and concise communications and presentations using approaches that highlight the most pertinent information for internal and external stakeholders that spur stakeholder action. • Engage with government payors, physician champions, and professional societies articulating Coloplast’s unique value propositions to secure appropriate coverage, coding and payment policies for Coloplast technologies. • Establish, execute and communicate government payor focused value messaging regarding Coloplast products. • Monitor and communicate health policy changes to internal stakeholders. • Maintain expert knowledge of government payor landscapes, trends, coverage issues, and payment methodologies pertinent to the Coloplast product lines particularly within DMEPOS.

🎯 Requirements

• Minimum 10 years’ experience working in the Medical Device, DME, managed care plan, Medicare/Medicaid arena. • Demonstrated ability to work with organizational decision makers, including medical directors, hospital administrators, etc. • Extensive knowledge of the various payment methodologies, CPT and HCPCS coding systems. • Knowledge of managed care and/or insurance industry. • Excellent written and verbal communication skills. • Strong oral, written and presentation skills, experience building customer/payor facing power point presentations. • Experience in the development of payer advocacy campaigns and documents describing the product, the comparators, market characteristics, clinical and economic evidence to support reimbursement and health technology assessment submissions. • Proven ability to successfully execute strategies in a matrixed organization. • Relationship building skills with global and US cross-functional internal and external audiences including physician customers, DME suppliers and/or payers or state-based government.

🏖️ Benefits

• Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy. • Access to company sponsored wellness programs and mental health resources. • Paid leave of absence for qualifying events and generous paid parental leave for both birthing and non-birthing parents. • A competitive 401(k) plan with company match that vest immediately. • Financial planning services to help you secure your future. • Corporate discount programs for goods and services. • Generous paid time off, flexible work hours, and flexible work arrangement options to help you balance your personal and professional life may be available. • Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement. • Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events. • A supportive work environment where everyone feels valued, and has a sense of belonging. • Participate in team-building activities, volunteer opportunities, and company-sponsored events. • Sustainability strategy that outlines our ambitions for running our company in a more sustainable way.